| NPI | 1275902900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 102016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 102016) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2021-02-08 |